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HomeMy WebLinkAboutH2024-0287 - PermitsCity of Newport Beach aEWlv��r d yCommunity Development Department - Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 1r newportbeachca.gov/civic 9l./4UtiN ., III I I I II I I II II II I II I II II Mechanical: Permit: H2O24-0287 Plan 82 Work Class : Other Permit Status: Issued — - 1 Issued Date : 05/21/2024 Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 7138 RESIDENCIA Description: MECH R/R DUCTWORK (XR2024-5001) Owner: NEWPORT BLUFFS LLC Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: (714)720-2521 Legal Desc : N TR 15584 BLK LOT 8 Applicant: FEDRA HEATING AND AIR CONDITIONING Address: 20829 ANZA AVENUE #329 TORRANCE, CA 90503 Phone: (310)951-9720 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : X Use Zone: PC - Bonita Canyon PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone Contractor : FEDRA HEATING AND AIR CONDITIONING Address : 20829 ANZA AVENUE #329 TORRANCE, CA 90503 Phone : (310) 951-9720 Con State Lie : 968565 Lie Expire : 12/31/2025 Bus Lie: BT30082752 Bus Lie Expire:10/31/2024 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No: CWC01385501 W. C. Expire: 1/13/2025 NO Manufacturer Model# : OWNER -BUILDER DECLARATION I hereby affimi under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5.. Business and Professions Code: Any city or county that requires a permit to construct, after, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from Iicensura and the basis for the alleged exemption. Any violation of Section 7031'..5 by any applicant fore. permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property,or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' Or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from Bcensure under the Contractors' State License Law for the following reason:. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall sell a structure that I have built as an owner -builder if it has not been constructed In its entirety by licensed Contractors- I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:htlp:ilwww:leginfo.ca.govicalaw.htmf.. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f ivisi 3 of the Business and Profes ns Code, and license is in full force and effect. License Class License. No Date 'Contractor Signature iNORKERS' COMPENSATION DECLARATION COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ?!,:aance of the workfor which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa ranee carrier and policy number are: of Agent certify that, in the performance of the , if I should become sgbiect to the we Policy Number Date this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ation provisions of Section 3700 of The Labor Code, I shall forthwith comply with those provisions. nature of Applicant ........... Date INS t / , Z CLARATION REGARDING CONSTRU TtON LE7____ ereby affirm under penalty of perjury tha {here is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Idlers Name Lenders Address my signature below. I cartify to each of the following: 1 am the property owner or authorized to act on the property owner's behalf, I have read this app,<cation and the information I have provided is correct.. I agree to comply tech all applicable city and county ordinances and slate laws relating to building construction. , dut, wrize repru.,eclat ves of this city or county f9 enter the aboy6-identified property for inspection purposes. of Proo�rty O,er er or Authorized I DATE I By PERMIFEXWREU PFRMITC„NCELLEO P'?iiglT'}7ENOE0 P'RMIT Fl4At C'PTIFICATE OF GCCUPANCYISSULG DECLARATIDN OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE, 40 AND ARMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO I_.IA$6tSTOS NOT IFICAfTON IS NOT APPLICABLE TO PROPOSED DEMOUTION FOR OFFICE USE ONLY nxte M l�